I know of only one instance where a child has a nurse in school. It is a child with the "elephant man" disorder and her jaw is so severely distended that she cannot talk and choking is a constant danger. It is probably 10 times the size of an adults'. She is very intellegent and extremely well-behaved (she is the same age as my daughter and has been in some of her classes). She has a nurse with her on the bus, at school, until she is delivered to her mom.